| NPI | 1275725988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2005027601) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-010437) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2011-02-03 |